Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE LALLY, OD
ActiveBROOKE LALLY, OD is a Optometrist healthcare provider located in PUEBLO, Colorado. NPI 1063264034 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PUEBLO, CO
Registration Details
- NPI Number
- 1063264034
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2024 (2.3572790050737 yrs)
- Last Updated
- Aug 4, 2025
- Licenses
-
2025023993 (MO)0004130 (CO)
Practice Information
- Address
-
712 FORTINO BLVDPUEBLO, CO, 810082084Browse CO providers · Browse ZIP 81008
- Phone
- 7195420236
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in PUEBLO, CO
| Name | Credential | NPI |
|---|---|---|
| DR. WILBUR FRED MEIKLEJOHN | O.D. | 1629037643 |
| JAMES F GEORGIS | O.D. | 1134180110 |
| DR. MICHAEL R. COZZETTA | O.D. | 1043277973 |
| DR. JAMES ALAN EICKELMAN | O.D. | 1851341267 |
| DR. CORY W SMITH | O.D. | 1073563573 |
| DR. STEVEN RAY CLOUGH | O.D. | 1487673356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.